Employees who are required to wear respirators must submit a medical evaluation before being permitted to wear a respirator on the job. Employees are not permitted to wear respirators until determined medically clear.
The confidential medical evaluation will be conducted using a questionnaire of the respiratory protection OSHA standard. All employees will be granted the opportunity to speak with Occ Health staff about their medical evaluation, if requested.
After review, Environmental Health & Safety is notified of the employee's clearance to wear a respirator. Periodically, a review of the employee's health status must be made, at the frequency specified, by completing and submitting another questionnaire.
Forms
- Respirator User Medical Questionnaire (Docusign Version)
- Respirator User Medical Questionnaire (fillable PDF)